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ST. LUCI ECORO~,by c~rtily this ro w . ttw .~w co.r.cr oopy os th. ~oc.~ = . ~ " • . ~ 'f
E COUNTY. ~imrar's reoord on fik in ths N4nin CouMy Health Denart• ~
RE ORD VERIFIEQwr~t d Stua~t, florids. :~.s . ;
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~1Naminq: Not valid unless reisad sesl of the AAartin i i: f•. ~ ,
~~1 ay f P~ d ~ ~ 9 Cou~fty Health Oepsrtmsnt is affixed.) - ' - _ ~ . , . : -
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